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Oklahoma Board of Medical Licensure and Supervision

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MINTON, LARRY ALLEN       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: 1410 W. LOCUST
STILWELL OK 74960-3275

Address last updated on 2/24/2012
Phone #: (918) 696-3101 x208
Fax #:
County: OKLAHOMA
License: 20590
Dated: 3/26/1998
Expires: 3/1/2013
License Type: Medical Doctor
Specialty: Emergency Medicine
Obstetrics & Gynecology
Geriatric Medicine (Family Practice)
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: Wayne State Univ SOM, Detroit Mi 48201
Graduated: 6 / 1991
CME Year: 2013
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
8/16/2007 Complaint Citation
#1/1/1900# Past Disciplinary Action
Board Filings and/or Orders:
09/25/2008
08/16/2007
08/16/2007
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications:
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
1410 W. LOCUST
STILWELL OK 74960-3275

Phone #: (918) 696-3101 x208
Fax #:

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